Organization
TATE CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM C TATE, II MD (OWNER/PRESIDENT)
(828) 737-7917
Entity
Organization
Contact information
Practice address
125 HOSPITAL DRIVE, SPRUCE PINE, NC 28777
(828) 765-4201
(828) 737-6869
Mailing address
PO BOX 843, LINVILLE, NC 28646-0843
(828) 737-7917
(828) 737-6869
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GROUP#02822
BCBS
NC
05
—
GROUP#8902822
—
NC
Enumeration date
06/08/2010
Last updated
06/08/2010
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